| NPI | 1275508525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA C156484) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: PA MD426457) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-03-21 |